Government & education

Credit Application for Government Agencies & Schools

Use this page to apply for Net 30 payment terms as a government agency, public school, college or university. It takes about 10 minutes.

Is this the right form? Use this form if you are a federal, state or local government agency, a public school, an accredited college or a university.
Are you a business or private company? Use the business credit application instead.

Before you start, have these ready

  • Your organization's legal name and Federal Tax ID number
  • Your tax-exempt certificate (if your organization is tax exempt)
  • Name, email, phone and fax of your Accounts Payable contact
  • The name and email of the person who will sign the form
1

Download the form

Click the orange button. The form will download to your computer (usually into your Downloads folder).

Download the form (PDF)

Nothing downloaded? Open the form here, then click the download arrow (↓) in the top-right corner of the screen.

2

Open it in Adobe Acrobat Reader

Open the file you just downloaded with Adobe Acrobat Reader. It's free: get Adobe Acrobat Reader.

Important: don't fill out the form in a Google Drive preview. Your answers won't be saved. Always download it first, then open the saved file.
3

Fill in every box

Click each box and type your answer. The form is 1 page. Make sure you fill in:

  • Your name, title and your organization's name
  • Federal Tax ID number, and check Yes or No for tax exempt
  • Accounts Payable name, email, phone, fax and address
  • Type of entity: check Government, Public School, College or University. If you are a government agency, also write Federal, State or Local next to it.
  • Printed name and email at the bottom
4

Sign the form

The form must be signed. Pick whichever is easier:

  • Sign on screen: in Adobe Acrobat Reader, click Fill & Sign → Sign, then type or draw your signature.
  • Sign on paper: print the filled-out form, sign it with a pen, then scan it or take a clear photo of every page.
5

Save the file

Click File → Save (or press Ctrl + S on Windows, Cmd + S on Mac). Remember where you saved it.

6

Email it to us

Send an email to [email protected] with:

Subject: Government Credit Application – [your organization name]
Attach:
  • The signed, filled-out form
  • Your tax-exempt certificate (if tax exempt)

Prefer fax? Fax everything to 909-206-1565.

7

Wait for our reply

Our sales team will review your application and email you with the result. You don't need to do anything else.

Stuck? We're happy to help.

Call 1-909-236-5395 (Mon to Fri) or email [email protected]